Military Family Foundations: Adapting an Evidence-based Family Prevention Program

军人家庭基金会：采用循证家庭预防计划

• 批准号: 8682891
• 负责人: MARK Ethan FEINBERG
• 金额: $ 18.1万
• 依托单位: PENNSYLVANIA STATE UNIVERSITY, THE
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-08-01 至 2016-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8682891
• 关键词: 3 year old; Address; Age; Alcohol or Other Drugs use; Attitude; Behavior Control; Child; Child Abuse; Child Mental Health; Child Rearing; Communication; Couples; Data; Decision Making; Development; Educational Curriculum; Emotional; Evidence based program; Family; Feasibility Studies; Feedback; First Births; Foundations; Frustration; Future; Health behavior; Home environment; Human Resources; Infant; Informal Social Control; Intervention; Joints; Life; Life Style; Measures; Mental Depression; Mental Health; Methods; Military Personnel; Morbidity - disease rate; Online Systems; Outcome; Parenting behavior; Parents; Participant; Pattern; Personal Satisfaction; Physical aggression; Pilot Projects; Population; Prevention program; Problem Solving; Provider; Psyche structure; Randomized; Recruitment Activity; Reporting; Research; Research Personnel; Risk; Role; Self Efficacy; Series; Services; Soldier; Spouses; Staging; Stress; Telephone Interviews; Time; United States National Institutes of Health; Violence; Vision; Work; base; behavioral health; combat; dosage; evidence base; experience; flexibility; meetings; member; mortality; parental influence; programs; public health relevance; randomized trial; resilience; satisfaction; skills; stress management; stressor; uptake

DESCRIPTION (provided by applicant): To enhance the well-being and resilience of Reserve and National Guard families, we propose to adapt a civilian evidence-based, family-strengthening program, Family Foundations (FF), and assess the feasibility of implementing it with Reserve and Guard families. The program's focus on the transition to parenthood period-and its documented effects with civilian families through at least child age three years-is well-suited to address the needs among reserve and guard families with young children. At the core of FF is recognition of the crucial role of positive coparenting support for facilitating the emotional, mental, and behavioral health of parents and children. Positive coparenting cooperation and support may serve as a leverage point to enhance the flexibility, capacity for family adaptation, and joint decision-making central to military family resilience. Research indicates that positive coparenting promotes parental self-efficacy, reduces parental stress and depression, and has positive influence on parenting quality. The program's focus on coparenting skills is supplemented by promotion of parent stress management, self-regulation, and behavioral control. These capacities enable parents to manage frustrations with reduced emotional reactivity, resulting in increased problem-solving and positive communication. Aim 1. We will adapt the existing FF curriculum for civilian families to meet the needs of R/NG families (in line with PA-11-202). First, we will develop a version that incorporates values, themes, and issues relevant to military families. Second, based on our existing work developing a DVD/workbook version of FF and interactive web-based materials for parents of infants, we will develop the adapted program as an interactive, online program that families can access on their own at home. Aim 2. We will conduct a pilot study of the program with couples to assess technical feasibility, engagement, user satisfaction, and efficacy. 120 R/NG couples expecting a child will be recruited and randomized to intervention or control conditions. We will measure parent engagement based on utilization data, and ask parents to report on whether the program is perceived as engaging, relevant, and helpful. We will administer pre-/posttest telephone interviews with participants to provide estimates of effects sizes on parent adjustment, coparenting, and parenting. We will conduct exploratory analyses of whether dosage (program usage) predicts outcomes, and whether program impact is moderated by sociodemographic factors.

描述(由申请者提供)：为了提高预备役家庭和国民警卫队家庭的幸福感和复原力，我们建议调整一项以民间证据为基础的家庭强化计划--家庭基金会(FF)，并评估在预备役和国民警卫队家庭中实施该计划的可行性。该方案的重点是过渡到为人父母的时期--以及其对至少三岁儿童的平民家庭的有案可查的影响--非常适合于解决有年幼子女的预备役和警卫家庭的需求。FF的核心是认识到积极的共同支持对于促进父母和孩子的情感、心理和行为健康的关键作用。积极的伙伴合作和支持可作为提高灵活性、家庭适应能力和联合决策能力的杠杆，对军事家庭的复原力至关重要。研究表明，积极的教养方式提高了父母的自我效能感，降低了父母的压力和抑郁，对父母的教养质量有积极的影响。该计划的重点是合作技能，并通过促进父母压力管理、自我调节和行为控制来补充。这些能力使父母能够通过减少情绪反应来管理挫折，从而增加解决问题和积极沟通的能力。目标1.我们将为平民家庭调整现有的家庭福利课程，以满足R/NG家庭的需要(符合PA-11-202)。首先，我们将开发一个包含与军人家庭相关的价值观、主题和问题的版本。其次，在我们现有工作的基础上，为婴儿的父母开发了一个DVD/练习册版本的FF和基于网络的互动材料，我们将把改编的课程发展为一个互动的在线课程，家庭可以在家里自己访问。目标2.我们将对该计划进行试点研究，以评估技术可行性、参与度、用户满意度和疗效。120对期待孩子的R/NG夫妇将被招募并随机分配到干预或对照条件下。我们将根据利用数据来衡量家长的参与度，并要求家长报告该计划是否被视为吸引人、相关和有帮助。我们将在测试前/测试后对参与者进行电话采访，以提供对父母适应、合作和育儿的影响大小的估计。我们将对剂量(计划使用)是否预测结果，以及计划的影响是否受到社会人口因素的影响进行探索性分析。